Individual provider · Type 1 NPI

Charlisa Evonne Haynes

Rehabilitation Practitioner · Lancaster, CA

NPI number 1447529268 Active

Practice location

43520 Division St
Lancaster, CA 93535-4089

Call (661) 266-4783 Map

Mailing address

108 W Victoria St
Gardena, CA 90248-3523

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1447529268

Charlisa Evonne Haynes's National Provider Identifier is 1447529268, issued on Dec 22, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Lancaster, CA. The record was last updated on Aug 19, 2016.